If you see patients via telehealth in states where you're not licensed, enrolled in a compact, or registered — every one of those sessions is a violation. It doesn't matter where you sit. It matters where your patient sits. And COVID-era waivers that used to cover this gap have expired.
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The pandemic grace period is over. All 42 state emergency telehealth waivers have expired. If you've been operating under COVID-era rules, you're now exposed.
These are the compliance risks solo and small-practice providers face every single day.
Most providers assume their state license covers all their telehealth sessions. It doesn't. The patient's physical location at the time of the session determines jurisdiction — every session, every time.
50 states, 11 interstate compacts, 14 registration programs, emergency exceptions that vary by state, prescribing rules layered on top. No provider can track this manually.
TeleVerify is private. Your compliance data is never shared with licensing boards, insurers, or regulators. Starting to document compliance protects you going forward — it doesn't create liability for the past.
They did. They don't anymore. Most state waivers expired between 2023 and 2025. The OIG's 2025 work plan explicitly targets telehealth compliance. The grace period is over.
You don't change how you practice. We just make sure every session is documented and compliant.
Launch your telehealth session through Zoom as usual. TeleVerify detects the session automatically — no extra clicks, no extra tabs.
Your patient's state is confirmed. TeleVerify checks your license and compact eligibility for that specific state in real time.
A timestamped, audit-ready record is created for every session. If you're ever questioned, you have independent, third-party proof.
Even a modest cross-state practice carries enormous financial exposure.
We hear this a lot. The instinct that ignorance is protective feels right — but it's legally backwards. Regulators and malpractice insurers treat undocumented non-compliance worse than documented awareness. A provider who ran thousands of out-of-state sessions with no records is in a far worse position than one whose audit log shows they flagged exceptions and made deliberate continuity-of-care decisions. TeleVerify converts "reckless disregard" into "informed risk management" — and that's a meaningful distinction when a licensing board is deciding whether to pursue discipline.
That's true — for now. But enforcement is accelerating. In May 2025, a federal court upheld New Jersey's authority to criminally prosecute out-of-state telehealth providers practicing without proper licensure. Indiana terminated its Telehealth Certificate program in July 2024, forcing all providers to obtain full licensure. The DOJ launched an AI-powered Data Fusion Center in 2025 specifically targeting cross-state telehealth activity. The question isn't whether you've had a problem — it's what happens when a state board discovers a licensing gap in your records.
No. Never. TeleVerify does not block or cancel appointments. It documents your compliance status and — when a session falls outside your licensing coverage — lets you make an informed, documented decision about how to proceed. The value is in the audit trail and the alert, not enforcement. You stay in control of your clinical decisions. We make sure those decisions are recorded in a way that protects you.
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Join the PilotMost compliance tools check whether a compact exists. TeleVerify checks whether you're enrolled. If your PSYPACT or IMLC membership hasn't been confirmed in your profile, TeleVerify flags sessions for review instead of marking them compliant. That distinction matters when a regulator asks for documentation.
If TeleVerify finds a state where you're not authorized to practice, the Coverage Gaps Resolution shows exactly which compact would resolve it, what it costs to apply, and a direct link to the application page.
When Medicare telehealth flexibilities expired in October 2025, visits dropped 24% in 17 days. One missed regulatory change can invalidate months of sessions.
TeleVerify monitors all 11 interstate compacts and 14 state-specific telehealth programs for changes. When a compact adds or removes a state, when a state changes its telehealth registration rules, or when federal policy shifts — you'll see an alert before your next session, not after a board complaint.
$20/month. Full compliance coverage. Audit-ready documentation for every session.
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